Evidence map›Paper›PMID 27114209›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2016

Diagnosing dementia in Dutch general practice: a qualitative study of GPs' practices and views.

Agnes Prins, Feia Hemke, Jeannette Pols, Eric P Moll van Charante

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The Cretan Aging Cohort: Cohort Description and Burden of Dementia and Mild Cognitive Impairment.American journal of Alzheimer's disease and other dementias · 2019
    Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Agnes PrinsDepartment of Anthropology, and associate professor, Section of Medical Ethics;
Feia HemkeDepartment of Anthropology, and associate professor, Section of Medical Ethics;
Jeannette PolsDepartment of Anthropology, and associate professor, Section of Medical Ethics;
Eric P Moll van CharanteDepartment of General Practice, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands.
Amsterdam UMC Location University of Amsterdam · NLInstitute of Medical Ethics · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGPs play an important role in recognising the symptoms of dementia; however, little is known about how they perceive their actual and future role in diagnosing dementia.

aimTo explore Dutch GPs' perceptions of their current position in diagnosing dementia, their reasons for referral to secondary care, and views on the future diagnostic role of GPs. DESIGN AND

settingA qualitative study among Dutch GPs.

methodEighteen GPs participated in a semi-structured interview that ranged from 20 to 60 minutes. Interviews were transcribed verbatim and thematic analysis was performed.

resultsGPs reported that their role in the diagnostic phase of identifying people with suspected dementia is limited to recognising cognitive problems and deciding whether a patient needs to be referred for further investigation, or whether care could be organised without specialist diagnosis. GPs indicated that they were likely to refer patients if patients/caregivers or dementia case managers requested it, or if they thought it could have consequences for treatment. Typically, GPs do not see the need for referral when their patients are very old and declining slowly. GPs would welcome a more prominent role in diagnosing dementia in their own practice.

conclusionDiagnosing dementia involves a complex balance between patient and carer preferences, the consequences for treatment and care, and the burden of referral. Dutch GPs favour a stronger involvement in diagnosing dementia provided that both resources and diagnostic algorithms are improved.

Indexed as

General PractitionersAttitude of Health PersonnelDementiaFemaleGeneral PracticeGuideline AdherenceHumansMaleNetherlandsPhysician-Patient RelationsPractice Guidelines as TopicQualitative ResearchReferral and ConsultationAlzheimer’s diseasedementiadiagnosisgeneral practiceinterviewthe Netherlands

Identifiers

PMID27114209
PMCPMC4871307
OpenAlexW2345267679

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.